Cold kills 9 as mercury dips across north India

NEW DELHI: The cold wave intensified across north India and killed nine more people in Uttar Pradesh on Tuesday, pushing the death toll from it this season to around 110.

Officials said three people died in Mirzapur, two each in Muzaffarnagar and Bareilly. One death each was reported from Moradabad and Amroha.

Most cold-related deaths - 92 - have been reported from Uttar Pradesh, where Agra, with a low of just 0.9 degree C, was the coldest place. Lakhimpur Kheri recorded a minimum temperature of three, Kanpur 3.2, Fatehgarh 3.6, Bareilly 3.8 degree C. The western and eastern parts of the state were colder than the rest of the state with the mercury dipping four to 10 degrees below normal.

A Met official said similar weather conditions will prevail till Wednesday

Thick fog continued to blanket large swathes of the region and further dipped the mercury besides disrupting rail, road and air traffic. Most flights remained grounded at Chandigarh, while trains were running hours behind schedule.

Minimum temperatures hovered around six degree C in Punjab, where Amritsar continued to be the coldest place with a high of 10 degree C. Bathinda recorded a low of 5.8 degree above the freezing point.

In neighboring Haryana, Narnaul remained was the coldest with minimum of just 0.7 degree C.

Most places in Rajasthan shivered with a high of under 10 degree C. Churu remained the coldest in the state with a low of just 0.7 degree above the freezing point. The mercury dipped to 4.5 degree C, almost three notches below normal, in Jaipur. Pilani recored a low of 1.4, Sriganganagar 4.3 and Bikaner 4.5 degree C.

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Brain image study: Fructose may spur overeating


This is your brain on sugar — for real. Scientists have used imaging tests to show for the first time that fructose, a sugar that saturates the American diet, can trigger brain changes that may lead to overeating.


After drinking a fructose beverage, the brain doesn't register the feeling of being full as it does when simple glucose is consumed, researchers found.


It's a small study and does not prove that fructose or its relative, high-fructose corn syrup, can cause obesity, but experts say it adds evidence they may play a role. These sugars often are added to processed foods and beverages, and consumption has risen dramatically since the 1970s along with obesity. A third of U.S. children and teens and more than two-thirds of adults are obese or overweight.


All sugars are not equal — even though they contain the same amount of calories — because they are metabolized differently in the body. Table sugar is sucrose, which is half fructose, half glucose. High-fructose corn syrup is 55 percent fructose and 45 percent glucose. Some nutrition experts say this sweetener may pose special risks, but others and the industry reject that claim. And doctors say we eat too much sugar in all forms.


For the study, scientists used magnetic resonance imaging, or MRI, scans to track blood flow in the brain in 20 young, normal-weight people before and after they had drinks containing glucose or fructose in two sessions several weeks apart.


Scans showed that drinking glucose "turns off or suppresses the activity of areas of the brain that are critical for reward and desire for food," said one study leader, Yale University endocrinologist Dr. Robert Sherwin. With fructose, "we don't see those changes," he said. "As a result, the desire to eat continues — it isn't turned off."


What's convincing, said Dr. Jonathan Purnell, an endocrinologist at Oregon Health & Science University, is that the imaging results mirrored how hungry the people said they felt, as well as what earlier studies found in animals.


"It implies that fructose, at least with regards to promoting food intake and weight gain, is a bad actor compared to glucose," said Purnell. He wrote a commentary that appears with the federally funded study in Wednesday's Journal of the American Medical Association.


Researchers now are testing obese people to see if they react the same way to fructose and glucose as the normal-weight people in this study did.


What to do? Cook more at home and limit processed foods containing fructose and high-fructose corn syrup, Purnell suggested. "Try to avoid the sugar-sweetened beverages. It doesn't mean you can't ever have them," but control their size and how often they are consumed, he said.


A second study in the journal suggests that only severe obesity carries a high death risk — and that a few extra pounds might even provide a survival advantage. However, independent experts say the methods are too flawed to make those claims.


The study comes from a federal researcher who drew controversy in 2005 with a report that found thin and normal-weight people had a slightly higher risk of death than those who were overweight. Many experts criticized that work, saying the researcher — Katherine Flegal of the Centers for Disease Control and Prevention — painted a misleading picture by including smokers and people with health problems ranging from cancer to heart disease. Those people tend to weigh less and therefore make pudgy people look healthy by comparison.


Flegal's new analysis bolsters her original one, by assessing nearly 100 other studies covering almost 2.9 million people around the world. She again concludes that very obese people had the highest risk of death but that overweight people had a 6 percent lower mortality rate than thinner people. She also concludes that mildly obese people had a death risk similar to that of normal-weight people.


Critics again have focused on her methods. This time, she included people too thin to fit what some consider to be normal weight, which could have taken in people emaciated by cancer or other diseases, as well as smokers with elevated risks of heart disease and cancer.


"Some portion of those thin people are actually sick, and sick people tend to die sooner," said Donald Berry, a biostatistician at the University of Texas MD Anderson Cancer Center in Houston.


The problems created by the study's inclusion of smokers and people with pre-existing illness "cannot be ignored," said Susan Gapstur, vice president of epidemiology for the American Cancer Society.


A third critic, Dr. Walter Willett of the Harvard School of Public Health, was blunter: "This is an even greater pile of rubbish" than the 2005 study, he said. Willett and others have done research since the 2005 study that found higher death risks from being overweight or obese.


Flegal defended her work. She noted that she used standard categories for weight classes. She said statistical adjustments were made for smokers, who were included to give a more real-world sample. She also said study participants were not in hospitals or hospices, making it unlikely that large numbers of sick people skewed the results.


"We still have to learn about obesity, including how best to measure it," Flegal's boss, CDC Director Dr. Thomas Frieden, said in a written statement. "However, it's clear that being obese is not healthy - it increases the risk of diabetes, heart disease, cancer, and many other health problems. Small, sustainable increases in physical activity and improvements in nutrition can lead to significant health improvements."


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Online:


Obesity info: http://www.cdc.gov/obesity/data/trends.html


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Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP


Mike Stobbe can be followed at http://twitter.com/MikeStobbe


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House Hesitates, Cites Cliff Deal Spending













Top House Republicans today opposed a bipartisan compromise that passed the Senate in the wee hours of New Year's Day to avert the "fiscal cliff," as new studies conclude that the compromise on taxes and spending would add trillions to the U.S. deficit.


If House Republicans tweak the legislation, as they seem likely to do, there's no clear path for its return to the Senate before a new Congress is sworn in Thursday.


GOP leaders emerged from a morning conference meeting disenchanted by the legislative package devised by Senate Minority Leader Mitch McConnell and Vice President Biden early this morning, with several insisting they cannot vote on it as it now stands.


"I do not support the bill," House Majority Leader Eric Cantor, R-Va., said as he left the meeting. "We're looking for the best path forward. No decisions have been made yet."


It's almost certain that Republicans will attempt to amend the bill in order to win over the support of more conservatives.


House Speaker John Boehner refused to comment on the meeting, but his spokesman said "the lack of spending cuts in the Senate bill was a universal concern amongst members in today's meeting."


"Conversations with members will continue throughout the afternoon on the path forward," Brendan Buck said in a statement.


As lawmakers wrestled with the legislation, the Joint Committee on Taxation and the Congressional Budget Office, two bipartisan groups that evaluate the cost of bills, said the measure would add roughly $4 trillion to the federal deficit in the next 10 years.






Bill Clark/Roll Call/Getty Images











Fiscal Cliff Countdown: Missing the Deadline Watch Video











Obama on Fiscal Cliff: 'Agreement Within Sight' Watch Video





The impasse once again raised the specter of sweeping tax hikes on all Americans and deep spending cuts' taking effect later this week.


"This is all about time, and it's about time that we brought this to the floor," House Minority Leader Nancy Pelosi said after emerging from a meeting with Democrats.


"It was a bill that was passed in the U.S. senate 89-8. Tell me when you've had that on a measure as controversial as this?" she said of the overwhelming vote.


Pelosi could not say, however, whether the measure had the backing of most House Democrats. "Our members are making their decisions now," she said.


Biden, who brokered the deal with McConnell, joined Democrats for a midday meeting on Capitol Hill seeking to shore up support for the plan.


While Congress technically missed the midnight Dec. 31 deadline to avert the so-called cliff, both sides have expressed eagerness to enact a post-facto fix before Americans go back to work and the stock market opens Wednesday.


"This may take a little while but, honestly, I would argue we should vote on it today," said Rep. Tom Cole, R-Okla., who sits on the Budget Committee. "We know the essential details and I think putting this thing to bed before the markets is important.


"We ought to take this deal right now and we'll live to fight another day, and it is coming very soon on the spending front."


The Senate passed legislation shortly after 2 a.m. that would extend current tax rates on 98 percent of Americans, raise taxes on the wealthiest earners and delay by two months the pending automatic spending cuts to defense and domestic programs, known as the "sequester."


The measure passed by an overwhelming majority vote of 89-8, boosting the prospects that enough House members would follow suit to make it law.


If the House amends the bill, however, the fragile compromise could get shattered. The Senate would need to reconvene to consider the changes.


A Senate Democratic leadership aide told ABC News, "we did our work, and McConnell's office said they were confident of House passage. All bets are off if they amend our bill."


Meanwhile, most Senators have already returned home, dismissed early this morning by Majority Leader Sen. Harry Reid.


"I've said all along our most important priority is protecting middle-class Americans, this legislation does that," Senate Majority Leader Harry Reid, D-Nev., said early this morning prior to the vote.






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Football: United start 2013 with bang to keep City at bay






LONDON: Manchester United kept a firm grip on the Premier League title race by sweeping to a 4-0 win at Wigan Athletic on the first day of 2013 to maintain their seven-point lead.

Champions Manchester City remain United's nearest rivals after a 3-0 success at home to Stoke City, while Tottenham Hotspur climbed to third by coming from behind to defeat second-bottom Reading 3-1 at White Hart Lane.

Javier Hernandez had already had a goal ruled out for offside at the DW Stadium when he put United 1-0 up against Wigan by tapping in after Ali Al Habsi saved from Patrice Evra in the 35th minute.

Robin van Persie got off the mark for the New Year eight minutes later, collecting a pass from Hernandez and sending Ivan Ramis to the turf with a dummy before curling the ball inside the right-hand post.

Hernandez added a third in the 63rd minute, swivelling to dispatch a half-volley when a van Persie free-kick arrived at his feet, before the Dutchman completed a brace of his own in the 88th minute with his 16th league goal.

City dominated the early stages at home to Stoke, who had gone into the game looking to protect a 10-match unbeaten run.

Pablo Zabeleta broke the deadlock two minutes before half-time, rolling the ball into an empty net after Asmir Begovic touched away James Milner's low cross with his foot.

Sergio Aguero was the creator of City's second in the 56th minute, with a low drive that was parried by Begovic, only for Edin Dzeko to turn the loose ball home.

Aguero scored a 74th-minute penalty after Steven Nzonzi was adjudged to have tripped David Silva, but the Argentine had to leave the fray moments later after appearing to sustain a hamstring injury.

Tottenham fell behind in the fourth minute against Reading when Pavel Pogrebnyak headed the visitors in front, but Michael Dawson's header meant the hosts were level within five minutes.

Spurs were dominant from then on, Emmanuel Adebayor putting them in front with a powerful 51st-minute header before Clint Dempsey's fortuitous deflected strike made it 3-1.

Victory took Spurs a point clear of Chelsea, who have two games in hand and host bottom club Queens Park Rangers on Wednesday.

Aston Villa put an end to a run of three straight defeats, in which they had conceded 15 goals, by drawing 2-2 at Swansea City, who equalised through Danny Graham in injury time.

Christian Benteke had put Villa ahead with an 84th-minute penalty, after Wayne Routledge's ninth-minute opener for the hosts had been cancelled out by Andreas Weimann.

West Ham United were also on the up, beating Norwich City 2-1 through goals from Mark Noble and Joey O'Brien to climb to 11th.

Earlier, Fulham shook off their slumbers from 2012 to win 2-1 at West Bromwich Albion and record only their second win in 13 matches.

Fulham striker Dimitar Berbatov had the honour of scoring the first goal of 2013 at the Hawthorns, with Alex Kacaniklic netting a 58th-minute winner after Romelu Lukaku equalised early in the second half.

Fifth-place Arsenal, 7-3 victors against Newcastle United on Saturday, visit Southampton in the evening kick-off.

- AFP/jc



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State Department made "grievous mistake" over Benghazi: Senate report


WASHINGTON (Reuters) - The State Department made a "grievous mistake" in keeping the U.S. mission in Benghazi open despite inadequate security and increasingly alarming threat assessments in the weeks before a deadly attack by militants, a Senate committee said on Monday.


A report from the Senate Homeland Security Committee on the September 11 attacks on the U.S. mission and a nearby CIA annex, in which the U.S. ambassador to Libya and three other Americans died, faulted intelligence agencies for not focusing tightly enough on Libyan extremists.


It also faulted the State Department for waiting for specific warnings instead of improving security.


The committee's assessment, "Flashing Red: A Special Report On The Terrorist Attack At Benghazi," follows a scathing report by an independent State Department accountability review board that resulted in a top security official resigning and three others at the department being relieved of their duties.


Joseph Lieberman, an independent senator who chairs the committee, said that in thousands of documents it reviewed, there was no indication that Secretary of State Hillary Clinton had personally denied a request for extra funding or security for the Benghazi mission. He said key decisions were made by "midlevel managers" who have since been held accountable.


Republican Senator Susan Collins said it was likely that others needed to be held accountable, but that decision was best made by the Secretary of State, who has the best understanding "of how far up the chain of command the request for additional security went."


The attacks and the death of U.S. Ambassador Christopher Stevens put diplomatic security practices at posts in risky areas under scrutiny and raised questions about whether intelligence on militant activity in the region was adequate.


The Senate report said the lack of specific intelligence of an imminent threat in Benghazi "may reflect a failure" by intelligence agencies to focus closely enough on militant groups with weak or no operational ties to al Qaeda and its affiliates.


"With Osama bin Laden dead and core al Qaeda weakened, a new collection of violent Islamist extremist organizations and cells have emerged in the last two to three years," the report said. That trend has been seen in the "Arab Spring" countries undergoing political transition or military conflict, it said.


NEED FOR BETTER INTELLIGENCE


The report recommended that U.S. intelligence agencies "broaden and deepen their focus in Libya and beyond, on nascent violent Islamist extremist groups in the region that lack strong operational ties to core al Qaeda or its main affiliate groups."


Neither the Senate report nor the unclassified accountability review board report pinned blame for the Benghazi attack on a specific militant group. The FBI is investigating who was behind the assaults.


President Barack Obama, in an interview on NBC's "Meet the Press" on Sunday, said the United States had "very good leads" about who carried out the attacks. He did not provide details.


The Senate committee said the State Department should not have waited for specific warnings before acting on improving security in Benghazi.


It also said it was widely known that the post-revolution Libyan government was "incapable of performing its duty to protect U.S. diplomatic facilities and personnel," but the State Department failed to fill the security gap.


"Despite the inability of the Libyan government to fulfill its duties to secure the facility, the increasingly dangerous threat assessments, and a particularly vulnerable facility, the Department of State officials did not conclude the facility in Benghazi should be closed or temporarily shut down," the report said. "That was a grievous mistake."


The Senate panel reviewed changing comments made by the Obama administration after the attack, which led to a political firestorm in the run-up to the November presidential election and resulted in U.S. Ambassador to the United Nations Susan Rice withdrawing her name from consideration to replace Clinton, who is stepping down early next year.


Rice had said her initial comments that the attack grew out of a spontaneous protest over an anti-Islam film were based on talking points provided by intelligence agencies.


Lieberman said it was not the job of intelligence agencies to formulate unclassified talking points and they should decline such requests in the future.


The report said the original talking points included a line saying "we know" that individuals associated with al Qaeda or its affiliates participated in the attacks. But the final version had been changed to say: "There are indications that extremists participated," and the reference to al Qaeda and its affiliates was deleted.


The report said that while James Clapper, the director of national intelligence, had offered to provide the committee with a detailed chronology of how the talking points were written and evolved, this had still not been delivered to Capitol Hill because the administration had spent weeks "debating internally" whether or not it should turn over information considered "deliberative" to Congress.


(Editing by Warren Strobel and David Brunnstrom)



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Punjab doctor arrested for raping woman

LUDHIANA: A doctor in Ludhiana, Punjab allegedly raped a girl after invited her to the city promising to get her admission in a post-graduate course. He has been arrested and sent to police remand till January 1.

According to the police, the accused Kanwar Samrat was arrested after a complaint by a 29-year-old woman. The woman, a divorcee, said that she got in touch with the accused from Samana in Patiala district through the internet.

They decided to get married and the woman got engaged to Samrat on May 22.Samrat promised her that he would get her admission into a post-graduate course and called her to Ludhiana on October 10. Samrat then raped her. Threatening her not to disclose about the incident to anyone, he raped her several times.

When Samrat neither got her an admission nor married her, she went to the police.

"We have registered a case of cheating and rape against the accused on the basis of complaint. He was arrested from Samana on Sunday morning and produced before the court which sent him to two days police remand. We are interrogating him," a police officer said.

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AP IMPACT: Big Pharma cashes in on HGH abuse


A federal crackdown on illicit foreign supplies of human growth hormone has failed to stop rampant misuse, and instead has driven record sales of the drug by some of the world's biggest pharmaceutical companies, an Associated Press investigation shows.


The crackdown, which began in 2006, reduced the illegal flow of unregulated supplies from China, India and Mexico.


But since then, Big Pharma has been satisfying the steady desires of U.S. users and abusers, including many who take the drug in the false hope of delaying the effects of aging.


From 2005 to 2011, inflation-adjusted sales of HGH were up 69 percent, according to an AP analysis of pharmaceutical company data collected by the research firm IMS Health. Sales of the average prescription drug rose just 12 percent in that same period.


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EDITOR'S NOTE — Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the second of a two-part series.


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Unlike other prescription drugs, HGH may be prescribed only for specific uses. U.S. sales are limited by law to treat a rare growth defect in children and a handful of uncommon conditions like short bowel syndrome or Prader-Willi syndrome, a congenital disease that causes reduced muscle tone and a lack of hormones in sex glands.


The AP analysis, supplemented by interviews with experts, shows too many sales and too many prescriptions for the number of people known to be suffering from those ailments. At least half of last year's sales likely went to patients not legally allowed to get the drug. And U.S. pharmacies processed nearly double the expected number of prescriptions.


Peddled as an elixir of life capable of turning middle-aged bodies into lean machines, HGH — a synthesized form of the growth hormone made naturally by the human pituitary gland — winds up in the eager hands of affluent, aging users who hope to slow or even reverse the aging process.


Experts say these folks don't need the drug, and may be harmed by it. The supposed fountain-of-youth medicine can cause enlargement of breast tissue, carpal tunnel syndrome and swelling of hands and feet. Ironically, it also can contribute to aging ailments like heart disease and Type 2 diabetes.


Others in the medical establishment also are taking a fat piece of the profits — doctors who fudge prescriptions, as well as pharmacists and distributors who are content to look the other way. HGH also is sold directly without prescriptions, as new-age snake oil, to patients at anti-aging clinics that operate more like automated drug mills.


Years of raids, sports scandals and media attention haven't stopped major drugmakers from selling a whopping $1.4 billion worth of HGH in the U.S. last year. That's more than industry-wide annual gross sales for penicillin or prescription allergy medicine. Anti-aging HGH regimens vary greatly, with a yearly cost typically ranging from $6,000 to $12,000 for three to six self-injections per week.


Across the U.S., the medication is often dispensed through prescriptions based on improper diagnoses, carefully crafted to exploit wiggle room in the law restricting use of HGH, the AP found.


HGH is often promoted on the Internet with the same kind of before-and-after photos found in miracle diet ads, along with wildly hyped claims of rapid muscle growth, loss of fat, greater vigor, and other exaggerated benefits to adults far beyond their physical prime. Sales also are driven by the personal endorsement of celebrities such as actress Suzanne Somers.


Pharmacies that once risked prosecution for using unauthorized, foreign HGH — improperly labeled as raw pharmaceutical ingredients and smuggled across the border — now simply dispense name brands, often for the same banned uses. And usually with impunity.


Eight companies have been granted permission to market HGH by the U.S. Food and Drug Administration, which reviews the benefits and risks of new drug products. By contrast, three companies are approved for the diabetes drug insulin.


The No. 1 maker, Roche subsidiary Genentech, had nearly $400 million in HGH sales in the U.S. last year, up an inflation-adjusted two-thirds from 2005. Pfizer and Eli Lilly were second and third with $300 million and $220 million in sales, respectively, according to IMS Health. Pfizer now gets more revenue from its HGH brand, Genotropin, than from Zoloft, its well-known depression medicine that lost patent protection.


On their face, the numbers make no sense to the recognized hormone doctors known as endocrinologists who provide legitimate HGH treatment to a small number of patients.


Endocrinologists estimate there are fewer than 45,000 U.S. patients who might legitimately take HGH. They would be expected to use roughly 180,000 prescriptions or refills each year, given that typical patients get three months' worth of HGH at a time, according to doctors and distributors.


Yet U.S. pharmacies last year supplied almost twice that much HGH — 340,000 orders — according to AP's analysis of IMS Health data.


While doctors say more than 90 percent of legitimate patients are children with stunted growth, 40 percent of 442 U.S. side-effect cases tied to HGH over the last year involved people age 18 or older, according to an AP analysis of FDA data. The average adult's age in those cases was 53, far beyond the prime age for sports. The oldest patients were in their 80s.


Some of these medical records even give explicit hints of use to combat aging, justifying treatment with reasons like fatigue, bone thinning and "off-label," which means treatment of an unapproved condition


Even Medicare, the government health program for older Americans, allowed 22,169 HGH prescriptions in 2010, a five-year increase of 78 percent, according to data released by the Centers for Medicare and Medicaid Services in response to an AP public records request.


"There's no question: a lot gets out," said hormone specialist Dr. Mark Molitch of Northwestern University, who helped write medical standards meant to limit HGH treatment to legitimate patients.


And those figures don't include HGH sold directly by doctors without prescriptions at scores of anti-aging medical practices and clinics around the country. Those numbers could only be tallied by drug makers, who have declined to say how many patients they supply and for what conditions.


First marketed in 1985 for children with stunted growth, HGH was soon misappropriated by adults intent on exploiting its modest muscle- and bone-building qualities. Congress limited HGH distribution to the handful of rare conditions in an extraordinary 1990 law, overriding the generally unrestricted right of doctors to prescribe medicines as they see fit.


Despite the law, illicit HGH spread around the sports world in the 1990s, making deep inroads into bodybuilding, college athletics, and professional leagues from baseball to cycling. The even larger banned market among older adults has flourished more recently.


FDA regulations ban the sale of HGH as an anti-aging drug. In fact, since 1990, prescribing it for things like weight loss and strength conditioning has been punishable by 5 to 10 years in prison.


Steve Kleppe, of Scottsdale, Ariz., a restaurant entrepreneur who has taken HGH for almost 15 years to keep feeling young, said he noticed a price jump of about 25 percent after the block on imports. He now buys HGH directly from a doctor at an annual cost of about $8,000 for himself and the same amount for his wife.


Many older patients go for HGH treatment to scores of anti-aging practices and clinics heavily concentrated in retirement states like Florida, Nevada, Arizona and California.


These sites are affiliated with hundreds of doctors who are rarely endocrinologists. Instead, many tout certification by the American Board of Anti-Aging and Regenerative Medicine, though the medical establishment does not recognize the group's bona fides.


The clinics offer personalized programs of "age management" to business executives, affluent retirees, and other patients of means, sometimes coupled with the amenities of a vacation resort. The operations insist there are few, if any, side effects from HGH. Mainstream medical authorities say otherwise.


A 2007 review of 31 medical studies showed swelling in half of HGH patients, with joint pain or diabetes in more than a fifth. A French study of about 7,000 people who took HGH as children found a 30 percent higher risk of death from causes like bone tumors and stroke, stirring a health advisory from U.S. authorities.


For proof that the drug works, marketers turn to images like the memorable one of pot-bellied septuagenarian Dr. Jeffry Life, supposedly transformed into a ripped hulk of himself by his own program available at the upscale Las Vegas-based Cenegenics Elite Health. (He declined to be interviewed.)


These promoters of HGH say there is a connection between the drop-off in growth hormone levels through adulthood and the physical decline that begins in late middle age. Replace the hormone, they say, and the aging process slows.


"It's an easy ruse. People equate hormones with youth," said Dr. Tom Perls, a leading industry critic who does aging research at Boston University. "It's a marketing dream come true."


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Associated Press Writer David B. Caruso reported from New York and AP National Writer Jeff Donn reported from Plymouth, Mass. AP Writer Troy Thibodeaux provided data analysis assistance from New Orleans.


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AP's interactive on the HGH investigation: http://hosted.ap.org/interactives/2012/hgh


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The AP National Investigative Team can be reached at investigate(at)ap.org


EDITOR'S NOTE _ Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the second of a two-part series.


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Hillary Clinton's Blood Clot Located in Her Head


gty hillary clinton jef 121231 wblog Clintons Blood Clot in Her Head Near Right Ear

Michal Sula/MAFRA/isifa/Getty Images


The blood clot that put Secretary of  State Hillary Clinton in the hospital was found in her head between her brain and skull behind the right ear, her doctors said today.


“It did not result in a stroke, or neurological damage,” her doctors,  Drs. Lisa Bardack and Gigi El-Bayoumi, said in a joint statement. “To help dissolve this clot, her medical team began treating the secretary with blood thinners.”


The doctors  said Clinton will be released “once the medication dose has been established.”


Clinton, 65, was admitted to New York Presbyterian hospital on Sunday for treatment of a blood clot stemming  from a concussion she sustained a few weeks ago, a Clinton aide said.


“In the course of a routine follow-up MRI on Sunday, the scan revealed that a right transverse sinus venous thrombosis had formed. This is a clot in the vein that is situated in the space between the brain and the skull behind the right ear,” the doctors said.


“In all other aspects of her recovery, the secretary is making excellent progress and we are confident she will make a full recovery. She is in good spirits, engaging with her doctors, her family, and her staff,” the statement said.


Clinton was supposed to be back at work at the State Department this week, but now the date of her return in unknown.


Details of Clinton’s blood clot had not been immediately released after her hospitalization.


Members of Congress wished Clinton a speedy recovery today, while pressing their call for her to testify before Congress about the U.S. consulate attack in Benghazi.


“We just want to say how much Secretary Clinton is in our prayers this morning and hope she recovers rapidly from this health problem,” Sen. Joe Lieberman, I-Conn.,   said at a press conference today. Lieberman is chairman of the Senate Homeland Security Committee.


“Secretary Clinton has made clear that she will testify. And I think that’s a good idea,” said Lieberman.


House Foreign Affairs Chairman Rep. Illeana Ros-Lehtinen, R.-Fla., tweeted get well wishes to Clinton Sunday night,  but also mentioned Benghazi. “Wishing Secretary Clinton a full + speedy recovery!,” Ros-Lehtinen wrote. “She’s looking forward 2 testify on #Benghazi and is bummed she can’t travel now like b4.”


The committee released a new report last week which concludes that the security system was “flashing red” in Benghazi shortly before Ambassador Christopher Stevens and three other Americans were killed in an attack by terrorists on Sept. 11. The report cited a “rising crescendo of evidence” from the U.S. intelligence community that Benghazi had become “dangerous and unstable, and that a significant attack against American personnel there was becoming more and more likely.”


Lieberman called the administration’s reaction to the flashing red indicators as “woefully inadequate.”


Sen.  Susan Collins, R-Maine, said she thinks other must be held accountable at the State Department, in addition to those who have already resigned following the release of the State Department’s internal investigation. The Accountability Review Board issues a scathing report which faulted some senior management at the State Department for the breakdown of security and resulted in the four officials stepping down.


“My hope is, and my expectation is, that once Secretary Clinton is well enough, that she will carefully review our report and see if there are other officials that need to be held accountable,” Collins said. “It is difficult for us to make that judgment, but I believe that it is likely that there are others that do need to be held accountable.”


The congressional report found that the environment in Benghazi was dangerous and that local security was inadequate for protection. The report also found that the departments of Defense and State had not jointly assessed the availability and the accessibility of U.S. assets to support the mission facility in Benghazi in the event of an attack, such as the one that occurred.


“We should have closed this facility in Benghazi until we were prepared to provide the security necessary to give minimal protection, adequate protection to American personnel,” Lieberman said.


The report concludes that it is clear that terrorists were responsible for the attack on the consulate and that the administration response bouncing between the State Department, the Pentagon and the intelligence community added to some “confusion” over the attack.


Many conservatives have been skeptical of  Clinton’s illness, with former U.N. ambassador John Bolton telling Fox News  Clinton had come down with a “diplomatic illness” to avoid testifying on Dec. 2o, a charge the State Department vigorously denied.


“These people do not know what they are talking about,” spokesperson Victoria Nuland responded.


Dr. Howard Markel, a practicing doctor and medical historian at the University of Michigan, tells ABC News that history shows the best response to rumors is transparency.  The State Department did not disclose that Clinton had a concussion until several days after it occurred and currently waited a day to disclose what part of her body her blood clot is in, leaving the media and others to make assumptions about the seriousness of her condition.


“In the absence of information, this kind of speculation often takes up the vacuum,” says Markel, who points out that Clinton is receiving excellent medical care and that her condition sounds treatable.


State Department officials say they have been transparent about the secretary’s health, keeping the press and the public aware of all major developments within a reasonable amount of time, but they also maintain that Clinton is entitled to some degree of medical privacy, a claim Markel says held up historically but does not today.


“If you’re a private person, you are entitled to your privacy as a patient. When you’re a public figure and you’re working on behalf of the American people, you give up many aspects of your privacy,” he said.


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Football: Pardew blasts Ba's advisors as star eyes move






LONDON: Newcastle manager Alan Pardew has accused Demba Ba's agents of giving bad advice to their client as the Senegal striker continues to be linked with a move away from St James' Park.

Ba, who has scored 13 goals this season, has a clause in his contract allowing him to leave Newcastle if a club bids

£7 million and the former West Ham star has been linked with a host of teams ahead of the January transfer window.

Chelsea were the latest side to express interest in Ba, with representatives of the 27-year-old reportedly holding talks with the Blues on Sunday.

Those discussions were later described as unproductive, but Pardew is aware that it won't be the last time Ba is involved in transfer talk during the window as agents seek to cash in on a potential big-money move.

"In some respects, I feel a little bit sorry for Demba as well because I think people who are representing him are not actually representing him," Pardew said on Thursday.

"There are people out there who are saying this who are not actually involved or want to be involved, and that's the sort of world we are in.

"The contract is what it is, we are all aware of that, and for me as the manager I need it resolved as quickly as possible. That's the best situation for our fans and for the club."

Newcastle have spent recent months attempting to negotiate a new contract with Ba which would remove the clause and that remains on the table, but Pardew insisted it would not do so indefinitely.

"The situation with that is that it's getting close to the point where we say 'no more', but the offer is still there," Pardew added.

- AFP/de



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GMR fallout? Visa now must for Maldivian medical tourists

NEW DELHI: India has tightened visas for Maldives in what is being seen as retaliation for the GMR fiasco in that country. New Delhi has stopped Maldivians from using their visa-free travel facilities to India for other activities like medical treatment, restricting it only to tourism.

India revised its earlier "liberal" interpretation of the 1979 bilateral visa agreement with Maldives this month which allowed thousands of Maldivians to use a 90-day visa-on-arrival facility — meant only for tourism — to travel for treatment in Indian hospitals. The Indian government indulged in Maldivians' liberal use of the facility. But that will no longer be allowed, said sources. Now, Maldivians will need valid medical visas for treatment in Indian hospitals or face deportation, New Delhi has warned.

Foreign minister Salman Khurshid suggested that a lack of reciprocity by Male had forced India to cut down on its largesse in doling out visas. "We know that people from the Maldives come here for treatment but as far as visas are concerned, we will go strictly by the rules," said Khurshid. While India allowed Maldivians to seek treatment on tourist visas — as it never questioned the purpose of their visit —authorities in Male have admitted that there always was a "mutual understanding" that such travelers required medical visa.

Indications are that Maldives is already facing the heat. Calling for its nationals not to depend on any one country for treatment, Male has now approached Sri Lanka saying it wants to extend its healthcare scheme to some of the hospitals in Colombo. Now, Maldivians are queuing up outside the Indian High Commission to seek medical visas which are limited in number. The Maldivian home minister said they would approach Thailand for help in medical treatment for its citizens.

According to the Indian government, Maldives' interpretation of the visa agreement was always different and that until now it was more difficult for Indians to get into Maldives than the other way round. The fact that India workers' passports are confiscated by their employers is something India has repeatedly taken up with authorities in Male but to no avail.

According to India, Maldives detains and deports about 50 Indian nationals every year. Maldivian home minister Mohammed Jameel Ahmed denied the charge, saying that only four have been deported this year. But the Indian High Commission contradicted him on Saturday. "Regarding the deportation of Indian travelers from Male International Airport, the High Commission of India stands by its figures," said the High Commission in a statement. Unlike Maldives, India has also been giving tourist visas free of cost. After tightening visa regulations, India has put forward a list of demands to Maldives in which it has also sought quick release of 14 Indians detained in the Indian Ocean nation.

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